Individual
MRS. KIELY KRISTINE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
7004 BEE CAVES ROAD, BUILDING 1, SUITE 210, AUSTIN, TX 78746-5004
(512) 327-0562
Mailing address
6310 MESA GRANDE, AUSTIN, TX 78749-4027
(925) 389-1090
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1003298
TX
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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